| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
15,560 |
9,788 |
$762K |
| 99284 |
|
8,943 |
5,646 |
$735K |
| 99285 |
|
2,662 |
1,675 |
$305K |
| 99282 |
|
6,629 |
4,873 |
$252K |
| 74177 |
|
973 |
757 |
$244K |
| A0427 |
Als1-emergency |
2,937 |
1,563 |
$194K |
| 70450 |
|
1,155 |
854 |
$189K |
| 71046 |
|
4,396 |
3,360 |
$151K |
| 96374 |
|
2,907 |
2,135 |
$119K |
| G0463 |
Hospital outpt clinic visit |
16,345 |
8,412 |
$116K |
| 97530 |
|
2,212 |
745 |
$106K |
| A0429 |
Bls-emergency |
1,477 |
842 |
$101K |
| 97110 |
|
3,454 |
977 |
$61K |
| 74176 |
|
284 |
222 |
$60K |
| 94640 |
|
1,688 |
948 |
$57K |
| 80053 |
|
11,417 |
8,049 |
$54K |
| 76700 |
|
593 |
483 |
$54K |
| 96365 |
|
1,641 |
743 |
$52K |
| 93005 |
|
3,878 |
2,929 |
$47K |
| 85025 |
|
11,501 |
8,140 |
$41K |
| 97140 |
|
2,532 |
758 |
$41K |
| 76856 |
|
446 |
396 |
$39K |
| 96372 |
|
2,313 |
1,385 |
$36K |
| 99281 |
|
1,311 |
1,051 |
$36K |
| 80307 |
|
1,242 |
870 |
$34K |
| 76830 |
|
358 |
319 |
$34K |
| 92507 |
|
603 |
188 |
$32K |
| 96375 |
|
2,204 |
1,428 |
$31K |
| 84443 |
|
3,535 |
2,850 |
$30K |
| G0480 |
Drug test def 1-7 classes |
1,100 |
732 |
$26K |
| 96361 |
|
2,019 |
1,381 |
$26K |
| A0425 |
Ground mileage |
4,637 |
2,407 |
$24K |
| 96360 |
|
554 |
423 |
$22K |
| 76816 |
|
235 |
187 |
$21K |
| 90834 |
|
439 |
272 |
$21K |
| 99000 |
|
8,647 |
6,759 |
$21K |
| 87880 |
|
2,465 |
2,191 |
$21K |
| 71275 |
|
81 |
63 |
$20K |
| 87491 |
|
1,025 |
923 |
$19K |
| 87591 |
|
1,025 |
923 |
$19K |
| J7030 |
Normal saline solution infus |
3,351 |
1,971 |
$17K |
| 80061 |
|
1,896 |
1,663 |
$16K |
| 73610 |
|
364 |
316 |
$16K |
| 76801 |
|
183 |
148 |
$15K |
| 73130 |
|
353 |
304 |
$15K |
| 87502 |
|
502 |
391 |
$15K |
| 71260 |
|
108 |
79 |
$15K |
| 73630 |
|
394 |
333 |
$15K |
| 43239 |
|
110 |
88 |
$14K |
| 88305 |
|
737 |
528 |
$14K |
| 71045 |
|
934 |
652 |
$14K |
| 72125 |
|
63 |
54 |
$14K |
| 87389 |
|
557 |
496 |
$12K |
| 96413 |
|
414 |
131 |
$12K |
| 82306 |
|
634 |
555 |
$12K |
| 76820 |
|
239 |
135 |
$10K |
| 83036 |
|
1,924 |
1,569 |
$10K |
| 87086 |
|
2,672 |
2,113 |
$10K |
| 87077 |
|
1,574 |
1,349 |
$10K |
| 97597 |
|
234 |
87 |
$10K |
| 99214 |
|
623 |
501 |
$9K |
| 73030 |
|
228 |
172 |
$9K |
| 71250 |
|
95 |
78 |
$8K |
| 73110 |
|
246 |
212 |
$7K |
| 96366 |
|
253 |
80 |
$7K |
| G0378 |
Hospital observation per hr |
112 |
37 |
$7K |
| 72100 |
|
182 |
156 |
$7K |
| 87804 |
|
846 |
723 |
$7K |
| 84484 |
|
2,114 |
1,235 |
$6K |
| 87040 |
|
1,480 |
617 |
$6K |
| 80048 |
|
1,496 |
1,160 |
$6K |
| 97162 |
|
248 |
185 |
$6K |
| 84702 |
|
639 |
491 |
$6K |
| 93306 |
|
35 |
26 |
$6K |
| 73564 |
|
133 |
108 |
$6K |
| 97535 |
|
622 |
397 |
$5K |
| 93971 |
|
63 |
54 |
$5K |
| 76819 |
|
57 |
24 |
$5K |
| G0481 |
Drug test def 8-14 classes |
141 |
89 |
$5K |
| 85027 |
|
1,786 |
1,179 |
$5K |
| 87081 |
|
1,119 |
1,018 |
$5K |
| 83690 |
|
1,439 |
1,070 |
$5K |
| 82550 |
|
2,240 |
1,342 |
$5K |
| 87186 |
|
1,003 |
799 |
$5K |
| 86850 |
|
593 |
465 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
2,255 |
1,374 |
$4K |
| 81001 |
|
2,678 |
2,062 |
$4K |
| 83735 |
|
1,690 |
1,078 |
$4K |
| 74018 |
|
178 |
122 |
$4K |
| 99213 |
|
506 |
450 |
$4K |
| 97161 |
|
254 |
187 |
$4K |
| 82553 |
|
2,059 |
1,199 |
$4K |
| 36415 |
|
9,391 |
5,751 |
$4K |
| 86803 |
|
395 |
338 |
$4K |
| 96376 |
|
282 |
200 |
$3K |
| 12001 |
|
55 |
28 |
$3K |
| 86780 |
|
356 |
310 |
$3K |
| 94060 |
|
66 |
51 |
$3K |
| 83880 |
|
351 |
256 |
$3K |
| 80050 |
|
484 |
439 |
$3K |
| 82607 |
|
383 |
332 |
$3K |
| J7040 |
Normal saline solution infus |
928 |
383 |
$3K |
| 82728 |
|
413 |
324 |
$3K |
| 76817 |
|
53 |
38 |
$3K |
| 84439 |
|
450 |
386 |
$3K |
| 76805 |
|
27 |
26 |
$3K |
| 83605 |
|
583 |
383 |
$2K |
| 85379 |
|
515 |
405 |
$2K |
| 90471 |
|
239 |
161 |
$2K |
| J0690 |
Cefazolin sodium injection |
537 |
364 |
$2K |
| 87340 |
|
337 |
277 |
$2K |
| 86140 |
|
655 |
532 |
$2K |
| 83550 |
|
452 |
361 |
$2K |
| 85610 |
|
1,310 |
853 |
$2K |
| G0108 |
Diab manage trn per indiv |
162 |
109 |
$2K |
| 83540 |
|
535 |
424 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,402 |
1,618 |
$2K |
| 73140 |
|
49 |
40 |
$2K |
| 86618 |
|
165 |
146 |
$1K |
| 81025 |
|
378 |
315 |
$1K |
| 87150 |
|
77 |
64 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
2,285 |
1,384 |
$1K |
| 81003 |
|
1,257 |
1,037 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,795 |
1,018 |
$1K |
| 87798 |
|
74 |
55 |
$1K |
| 97112 |
|
30 |
12 |
$1K |
| 85652 |
|
701 |
575 |
$1K |
| 85007 |
|
1,121 |
696 |
$1K |
| 94729 |
|
50 |
39 |
$1K |
| 82746 |
|
119 |
105 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
370 |
214 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,445 |
842 |
$835.82 |
| 87205 |
|
332 |
259 |
$811.05 |
| J2930 |
Methylprednisolone injection |
111 |
71 |
$800.76 |
| J1100 |
Dexamethasone sodium phos |
1,189 |
669 |
$782.99 |
| 82043 |
|
239 |
211 |
$773.53 |
| 82570 |
|
259 |
221 |
$755.12 |
| 76770 |
|
24 |
15 |
$722.52 |
| 86906 |
|
111 |
79 |
$602.13 |
| J1170 |
Hydromorphone injection |
367 |
198 |
$565.36 |
| 87653 |
|
44 |
38 |
$564.37 |
| 80074 |
|
16 |
15 |
$496.59 |
| 73080 |
|
14 |
12 |
$479.27 |
| 97035 |
|
67 |
30 |
$476.50 |
| J7050 |
Normal saline solution infus |
272 |
114 |
$452.25 |
| 82784 |
|
51 |
45 |
$404.28 |
| 87140 |
|
100 |
92 |
$394.67 |
| 87808 |
|
33 |
30 |
$368.32 |
| 87905 |
|
37 |
32 |
$366.10 |
| 36416 |
|
708 |
402 |
$334.79 |
| 84100 |
|
292 |
141 |
$333.75 |
| 82948 |
|
537 |
300 |
$322.09 |
| 84403 |
|
14 |
13 |
$299.28 |
| 94726 |
|
13 |
12 |
$293.66 |
| 90715 |
|
49 |
39 |
$282.93 |
| G0008 |
Admin influenza virus vac |
422 |
283 |
$244.52 |
| J2270 |
Morphine sulfate injection |
241 |
149 |
$235.54 |
| 86038 |
|
31 |
27 |
$234.47 |
| S9982 |
Med record copy per page |
15 |
15 |
$228.00 |
| J2060 |
Lorazepam injection |
370 |
231 |
$220.34 |
| 86762 |
|
20 |
17 |
$212.33 |
| 80076 |
|
42 |
29 |
$207.43 |
| 84146 |
|
16 |
14 |
$207.01 |
| 90662 |
|
117 |
80 |
$199.70 |
| 86900 |
|
111 |
79 |
$180.06 |
| 83655 |
|
15 |
13 |
$157.50 |
| 82950 |
|
46 |
40 |
$153.68 |
| 90686 |
|
251 |
186 |
$131.87 |
| 87210 |
|
65 |
56 |
$131.45 |
| 83516 |
|
15 |
13 |
$129.25 |
| 82565 |
|
63 |
40 |
$121.69 |
| 84481 |
|
13 |
12 |
$117.68 |
| J0171 |
Adrenalin epinephrine inject |
36 |
26 |
$80.72 |
| 85730 |
|
17 |
14 |
$77.66 |
| J1200 |
Diphenhydramine hcl injectio |
112 |
82 |
$71.43 |
| 99393 |
|
15 |
15 |
$62.07 |
| 86431 |
|
14 |
13 |
$49.30 |
| 85378 |
|
15 |
12 |
$39.45 |
| J1630 |
Haloperidol injection |
47 |
25 |
$38.55 |
| 84460 |
|
13 |
12 |
$36.80 |
| 84156 |
|
14 |
12 |
$32.07 |
| J2550 |
Promethazine hcl injection |
20 |
12 |
$18.51 |
| J1644 |
Inj heparin sodium per 1000u |
67 |
12 |
$12.43 |
| A9270 |
Non-covered item or service |
83 |
47 |
$7.52 |
| G8979 |
Mobility goal status |
133 |
89 |
$0.00 |
| G8978 |
Mobility current status |
98 |
67 |
$0.00 |